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(916) 351-9100
(916) 351-9100
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Comment Card
Date of Visit
Server's Name
Number of guests in your party
-
1
2
3
4
5
6
7
8
9
10+
Have you dined with us previously?
Yes
No
How often in the past year?
-
1
2
3
4
5
6
7
8
9
10+
Are you likely to dine with us again within the next 90 days?
Yes
No
Possibly
May we correspond with you directly?
Yes
No
Name
Address
City
State
Zip
Email
Phone
Comments
How did you learn about us?
Newspaper
Guide Book/ Magazine
Internet
Newsletter
Another Restaurant
Concierge/Hotel
Radio/TV
Airline Magazine
Friend
Which meal did you have with us?
Lunch
Dinner
Other
How well did we serve you?
Greeting Desk Experience
Better than you expected
Met your expectations
Did not meet expectations
Service Experience
Better than you expected
Met your expectations
Did not meet expectations
How was your dining experience?
Menu Selection
Better than you expected
Met your expectations
Did not meet expectations
Quality of Beverage
Better than you expected
Met your expectations
Did not meet expectations
In general how did you feel about our restaurant?
Overall Impression
Better than you expected
Met your expectations
Did not meet expectations
Ambiance
Better than you expected
Met your expectations
Did not meet expectations
Desire to Visit Again
Better than you expected
Met your expectations
Did not meet expectations
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